7am: whole cage stain w poo 1/10 

Confirm no vomit 

Help him wipe his butt he understand, wipe his leg he kick me 

Still weak 

745am tube fed him 24ml of ad

That sound is still loud n scary 

Given his morning meds including gabapentin n pet tinic – give twice also 

755am RR 43

819am wipe his both hind legs – stain w lots of poo 

tube fed 39ml of ad 

840am tube fed 24ml – tell him sleep I got to rush alr 

847am soak his legs w waterless bath 

Whole morning checking on him he is fine – got change position 

Got kpo look at me n I call him he got look at me 

210pm: scary. He lying flat in his pee, head covered by the machine, I know alive cos can see breathing v fast from ip. I think he needs o2 – can’t buy clear sheet le, I better rush back see him then go back centre again 

238pm position change a bit, away fr pee patch, but breathing still v heavy 

330pm – RR >40 cos he move can’t get accurate reading 

Pee still v yellow, help him change 

No vomit 

Improvise oxygen seal for him – like got use mouth to breathe le 

maybe later give a Buprenophine iv? 

tube fed 36ml ad 

649pm: damn scary – I checked Ip for 5-6 times lucky he did change position, but he definitely look much weaker today 

Every half hour check Ip – he change position, still worry why he is so weak. I think tmr morning I bring the metro to clinic n don’t give, safer in case any cork up in the 5ml? 

910pm: rushing home  to see mosses. He did pee again 

930pm: clear Peepad, he is breathing super heavily, super yellow instead of just pale now 

Tube fed 36ml ad 

Somehow I give 0.2ml Buprenophine iv and cooler pack, he seem to be more calm n breath better 

1020pm: given meds and tube fed 32ml ad and breathing is bad again, quickly close o2 chamber for him 

1110pm: tube fed 36ml more concentrated ad

Rr: 68 – resting mode.  

Prep his meds and get ready extra blended food for Clinic to tube feed him too 

Amy chew commented on mosses video post on this: will show dr ym n ask her tmr:

http://www.harmonyvet.com/animals/jace-stomatitis

645am wake up to check on mosses

Wa ip off can’t see. Have to check physically – going to feed them early cos wanna walk in w mosses first appt 

7am: he is alive, gummy take over baby cot, mosses sleep under the cot 

V pale, waiting to sight battle at 930am first walk in 

He got lick a bit of aixia oldie 

Totally no idea whether iv is necessary – but I got ready 猫房 hospi cage 02 for him – panic buying Peepads now 

925am: we waiting to walk into clinic – lucky he is still in sitting up position 

Dr yeumee seen mosses: 

1. 3.28kg – lose another 70g (2 days gap)
2. didn’t check mouth – know is horrible 
3. His gum is pale like white alr 
4. Still dehydrate despite Subcut 
5. I ask about possibility of cancer/ tumor/ mass cos I thought might need xray/u/s- physical check liver dont seem to have any abnormality, kidneys still symmetrical, intestines did thicken
6. Dr ym understand the situation: what mosses had been all along, mouth wash not working, I Subcut, I give all the vitamins, I syringe feed but if his mouth is going to be that pain n can’t take in food also hard – o tube is the choice despite v high risk. Cos don’t do, he also waiting to die of hunger if not anemic. 
7. For the anemic, unknown why? She highly think should retest fiv Felv to know any reason for red blood cell descruption – she will do blood smear to check mosses still have the availability to clot blood (basic testing) 
8. To do o tube, she need to do Iv cath to hydrate him a bit more first and find chance to put in o tube so I can bring him back for monitoring – also need to retake Chem10 panel to make sure his organs can take the ga (just wanna make sure the risk is high but not v v high) – but yet she mention even is v v high, he still need the o tube? 
9. Possible blood lost can be due to parasites too – doxy 
10. Urine analysis sure take one I know, but his bladder small, so I believe maybe later then can take 
11. Dr ym mention just take tbil – I somehow know what it is for but my brain not  working now to log down
12. Other than mossses is breathing faster (might be pain, stress, tired, Low blood), he don’t have heart mur mur and nothing significant to note when dr hear his heart – one point safer to go for o tube 

1030am: dr ym give me a quick update iv cath is in, n mosses didn’t come out w me, she is bz w other consult. Not sure did they start him on iv fluid alr. 

1051am: still waiting. 

1135am: rbc 2.69, hct 13.2%, retic 5.1 – still bad but better than tues 

Wbc 21.46, NEU 18.29, plt 26 

Glu 6.65, crea 82, urea 11.1 – good to go ahead w o tube, I later fetch him home ard 7pm once he stable 

Tp 87, alb 21, glob 66, alkp <10

Tbil 60 – is the descrution of red blood cell that cause him yellow, not his liver got problem, his liver is working very hard 

Fiv positive still – so not end stage? Felv still negative 

Urine dark yellow – expected, even got bil 3+

During ga o tube, reject biopsy of his gum cos 

1. 5 mins delay matter a lot
2. Bleeding he might not be able to make it 

1150am: back in 猫房, wait for clinic news on mosses. Hospi cage w Peepads settled, I go buy blender for him. 

Oh ya told dr ym re the darbepoetin, 2nd dose onwards should be 0.04ml

248pm: “Hello Cat, Dr Yeumee wants to inform you that she is going to sedate Mosses now.” 

313pm: “Tube placement done, recovering from the sedation now.” 

507pm: “She said that he’s drooling a little. So better to let him rest here for now.” – going to fetch him at 7pm 

730pm: met dr ym and we conclude the following: 

1. Mosses had some sneezing SOUND， she had given cerenia jab, have to monitor properly – it’s like very loud purring loud when I tube feeding him 
2. O2 level is stable during ga,  though his breathing and his lung on xRay is a little weird 
3. Mosses to stay childcare centre this sat 
4. On 3 ab: oral doxy 0.3ml, metro 5ml x twice daily, cefazolin 0.3ml x twice 
5. Meloxicam stop correct, minimum 5 days off then can give depredil so kiv
6. Duno why but somehow dr ym sound worried that mosses can’t survive after going back 猫房 – maybe is that sound – yet she don’t think he needs to be on o2 

Back to 猫房 hospital, 

755pm: 

1. syringe feed 24ml – his purring sound damn loud – scary. So stop 
2. Iv rate 6ml/h (this bag will last till mon 7am) 

1019pm: tube feed 12ml ad, fed probiotics to provide his guts cos on so many ab 

Fed doxy and pet tinic 

He pee quite a bit – v yellow – lay flat sleep 

Given cefazolin direct into iv port – his loud purring breathing sound is scary  

Metro jabs initially got issue – molecule too big or? I don’t have such issue last time – so a bit unknown 

1115pm: tube feed 12ml ad, RR 34 – sayang him told him to sleep le 

Total today: 48ml ad 

722am: worry about mosses awake check Ip first can’t see him at all – not at sofa chair anymore 

8am: survive the night, I serve tuna w chicken ham n RC Renal pouch – he did lick, lick only is already a good sign compare to yesterday totally uninterested 

He was sleeping in the tunnel

11am: syringe fed him 30ml diluted ad, most come out cos his mouth is pain. Should I stop his meloxicam too since not working? N switch back to depredil? Today will stop see how. Up pain killer. 

1120am: Saw the paw injured (right front) ThAt the vet say yesterday – wa they didn’t even help him clean away the unicharm stick to his paw, I clean up today n saw one paw skin totally no more, wipe with f10 

530pm: didn’t look worsen, didn’t look better yet, tmr will go ahead w review n see how – think maybe need dr ym to do a scan on him n see how 

1030pm: his same paw got one more unicharm stick to it, I pour f10 to wet it and remove and clean it 

He look damn bad. Really look … but yet when I syringe him ad n some drop to the bed, he got lick – I still see hope – pls let him see dr ym tmr 

Syringe fed 30ml ad – his mouth in damn pain 

I sayang n hold his head in my palm, he didn’t kill me n I’m scare. he did look at me I also scare. I hope he understand I’m preparing him for tmr battle, not … 
1110pm: carry him to baby cot to sleep, sleeping pose really scary, neck hanging …. arghhhh
1136pm: ah boy walk over to check mosses make me so scare

Afternoon: continue Subcut, syringe fed him 30ml ad, did swallow but paw some out cos mouth in pain. meloxicam not helping? Change back to depredil any use? Thurs see what dr ym says 

9+pm: just find him too weak

Fed him 30ml diluted ad 

He went to sit in litterbin, the way he lie down just look damn scary – – rush him to dr Chang for bloodworks 

V anemic 

3.35kg – drop 570g 

Dr Chang commented he is weak 

Blood drawn – diluted, didn’t paw got blood from his pawing of mouth 

The vet ask me one sentence: “what’s my plan for him” – hard qn, I told him I know if jaundice need iv, but anemic can’t iv. – but hs can do for me I can go Low rate iv. See first 

Actually want to see his kidney, then how anemic is he now – at least let me do something today n tmr n thurs see dr ym say what 

1006pm; While waiting for bloodworks, omg he meow v softly in the carrier I scare  

Rbc 2.37, HCT 12% – Dr Chang ask me whether I will do transfusion she said a sentence “most bt also die” – good she is in line w my thinking 

Told her I intend to give darbepoetin- she will give me the dose (she initially say 50mg per cat, irregardless of weight, but I told her I normally give accordingly to weight, my calculation is give 0.075ml for mosses, she mention asking whether I want to give high dose for the first dose, 0.08ml) subsequent dose 1/4 dose 0.02ml 

Have to give pet tinic (she mention iron but i can’t be touching mosses mouth w wanse) 

Retic 2.4, non generative – might be fiv end stage le 

Wbc 18.76, neu 10.62, think ab also no use – unless need to take urine culture n sensitivity to see what ab he resistent to – but last test he back negative bacteria – waste money only 

EOS 0.09 – somehow I know all point to end stage thingy 

Plt 41 

Tp 9.2, alb 1.9, glob 7.3, alt 87 

Alkp <10 

Ha his ag ratio so Low that pple Duno will thought he fip cat 

K 4.5 

Crea 1.4, bun 36 – for now no issue to continue meloxicam for his mouth 

Bring mosses go gai gai a bit buy teh o n go home – given darbepoetin 0.08ml and pet tinic 0.75ml. 

Wanna carry him onto the baby cot bed to sleep but he settled in on the sofa chair on his own – let him be 

Morning: day 03-04 no poo almost like no pee? Also didn’t eat much, feel he is getting yellow. I still don’t think new vet can handle him – have to wait till Thursday 
Supplement him w good stuff first, Subcut w b12 b com 

Night: lucky got weird looking poo but formed ard 5cm 
Didn’t really lick the food tonight 

Mosses 15.3.21 mon
Morning: got poo >10cm scale 4/10 
Still feel he is yellow, dr experience w new clinic I think mosses go see dr yeumee better 
Subcut him told him that help him maintain some body conditions, sayang him, I know he know. I think I want to syringe feed him tmr 

Morning: can’t get any earlier slot from hs, will stick to thurs 10am vet visit 

Night: given nutriplus gel too. Lucky still eating 

Stop his mouth wash. I think he is yellow. Yellow n pale n white – bad. I want to send him to vet asap – wanna go sunshine vet but I think I got to go hillside where I know they internally can handle him. Rather sure he is anemic too, saw him attempt to eat litter this morning.
night: lucky he did eat a bit. Quarantine him in LightHK room.

• given mosses Marbo for 4 weeks. Today onwards stop 
• Continue mouth wash and Meloxicam 
• Night: he look kind of pale, did lick food but didn’t eat much – I was still thinking of skipping next thurs vet visit, mosses can’t Skip 

• up mouth wash to 2ml  
• Look fine 

night; hide at top deck- so can’t medi 

tonight given Subcut w Marbo b12 b complex, will jump off towards the end but still b fine 

• give Marbo jump unsuccessful tonight – day 13 so can’t stop  
• Continue mouth wash – once a day no choice, haha 4 times a day v funny no life 

Ok w eating aixia oldie 

fly to buy mosses mouth wash – tonight try on him, wa one set only 30ml, 2ml per 6h Meaning this only last 3 days? wa will give only twice per day bah, but this will only last 6 days also ..,. See how tonight start – got ga drug – I think I start 1ml diluted 

• morning: found him at room c – hands w blood means yesterday he paw himself again 
• Serve aixia oldie – got eat 

receive an Ang bao from mummy kc

• seem ok other than did vomitting a little in litterbin 
• Open up his room since noon 
• Night: he still stay in room c 

Subcut n give Marbo no issue 

• Wet food intake minimum 
• Got eat kibble 
• Night: jump upon Marbo jab – think tmr need to Subcut then jab  

• seen dr ym for review 
• 3.92kg – gain 70g 
• Physical, mouth didn’t look worse in fact he is fine but I show dr ym the look-like-vomitting blood video 
• left upper gum look like got pus alr
• She recommend a mouth wash for mosses – need to make n they need to get the ingredients in n inform me again 
• Continue Current treatment, add on Marbo 0.45ml jabs for 3 weeks and review 
• Spon something one – that one kiv again cos long term wise will have impact on organs (same effect like apoquel) 
• Night: given Marbo jab direct – he is okay, I’ll Subcut him every other day w b12 b com also

today did lick the food but didn’t really eat 

• 645pm: about to have dinner break, mosses bleed a lot, a lot – mouth too pain. Need to see vet but not those immediate need type – book an appt w dr ym – actually I Duno see vet for what other than top up more pain killer 
• He is definitely in pain – given 0.08ml methadone 
• Carry him to room c – serve gold d senior – he got lick 

• 1020pm; not further self hurting action 
• Added gabapentin into his treatment plan 
• Didn’t poo 
• Did eat both wet food and kibble 

6.2.21 sat 
morning; poo 3.5/10 
night: got selar fish. Happy 

• night: he look fine for sometime – changing his meloxicam to alternate day 
• Today given 
• Poo 1.5+4/10 

Night: Subcut him, next time will add on vitamins to give him more nutrients – like sayang  

Night; Will jump down to eat  kakato tuna w fillet 

I drink lactulose free milk he still like to drink but his mouth is pain